My scheduled 5 day Mt. If not treated appropriately, these injuries can have many negative long-term sequelae, however if diagnosed quickly and treated appropriately, one can expect a full recovery from a quadriceps tendon rupture. Many patients have reported that they required 12 months before they reached all their goals. This will likely depend upon your age, your activities, and your previous level of function. A quadriceps tendon rupture is defined as a tear of the quadriceps tendon as a result of a traumatic incident. However, there are several case reports of this injury occurring bilaterally from . They most often occur among middle-aged people who play running or jumping sports. Spontaneous ruptures were reported in 3.2% of cases. No range of motion until 2 weeks, at 2 to 4 weeks 0 to 20 degrees. A disruption anywhere along the extension mechanism, whether it is a quadriceps tendon rupture, a patellar fracture, or a patella tendon rupture, causes the athlete to be unable to extend his or her knee. It may take much longer to meet your strength training and range of motion objectives in their entirety. If your surgeon does this, the wires or cables may need to be removed during a later, scheduled operation. A quadriceps tendon tear will have a sudden onset at which time the individual will feel sudden pain at the front of their knee, and a tearing or pop sensation. Retrospective study. (Right) The kneecap has moved out of place due to a torn quadriceps tendon. Please note that as an Amazon Associate I earn from qualifying purchases. Wearing a long brace or knee immobilizer that keeps your leg straight for 6 weeks. The majority of biceps rupture involves the long head. Surgery generally takes between one and two hours. Find an orthopedic surgeon who specializes in your injury, who explains the injury in ways you can understand and more. The initial weight of post operation is managed with a walker or crutches. Quadriceps tendinitis is most common in people who run and participate in sports that involve jumping. Thank you, {{form.email}}, for signing up. It may also cause small tears. Goals are to develop maximal strength, power, and advance to sporting activities. Rupture of the proximal biceps tendon can be treated conservatively, while injury to its distal attachment . Without surgery, the patient will be unable to extend their knee and have significant long-term disability. All from the comfort of home. If your tendon has shortened too much before surgery, it will be hard to reattach it to your kneecap. The quad tendon is part of the extensor mechanism of the knee that includes the quadriceps muscle, the quad tendon, the kneecap (patella) and the patellar tendon. Recovery Period Following Surgery for Quadriceps Tendon Rupture (QTR) The sutures or staples are usually detached after a period of 14 to 21 days. In daily life, it acts as part of the extensor mechanism to straighten the knee. My New BQR Friend, Jim Falvo's Amazing Story. Quadriceps tendon ruptures come in two main types: partial and complete tears. Usually it is very difficult to walk normally after the injury, let alone to keep playing. The patient will be able to weight bear all of their weight on their leg after a week or two, but will have to wear the, Most people who undergo treatment of a quadriceps tendon rupture will do well long-term. Quadriceps tendon rupture is reported to have an incidence of 1.37/100,000, compared to .68/100,000 for patellar tendon ruptures. A quadriceps tear often occurs when there is a heavy load on the leg with the foot planted and the knee partially bent. 3727 Buchanan St #300 Single leg balance with perturbations (Around the worlds, single balance with upper extremity movements). While it is not a surgical emergency, surgery does need to be performed in the first few days, or within the first week or two at the latest. Take steps to recover from knee surgery quickly and safely! Add lateral exercises (i.e. The following is my timeline from my 2013 incident. Should I get a Femoral Nerve Block before Quadriceps Tendon Surgery? It typically occurs in older athletes, meaning athletes 30 or 40 and older. Then strong sutures are placed into the tendon and tied back down to the top of the patella. Thus, you can move your leg freely. The quadriceps tendon is a thick, strong tendon that can withstand tremendous force. People who injure the extensor mechanism may tear the quad tendon, tear the patellar tendon, or fracture the kneecap. Patellar tendon rupture recovery time after surgery varies based on surgeon preferences. With this technique, the surgeon attaches the tendon to the bone using small metal implants called suture anchors. connective tissue disorders. All rights reserved. A quadriceps tendon rupture happens when the tendon tears. Complete recovery takes at least 4 months, but most repairs are almost completely healed within 6 months. The sooner surgery is performed after an injury, the better the outcome will be. While an MRI is usually not necessary, your medical professional may order the test to evaluate for other damage within the knee joint. You have to be used to of ROM (range of motion) and have to be completely free from quadriceps tendon rupture (QTR) pain. They can cause significant loss of time from sport and work. Turf Toe (Metatarsophalangeal Joint Sprain). A complete tear of the quadriceps tendon is a disabling injury. Injuries to the quadriceps tendon can be very disabling. Our articles are resourced from reputable online pages. No range of motion until 2 weeks, at 2 to 4 weeks 0 to 20 degrees. Over time, your doctor or therapist will unlock your brace and allow knee flexion in a step-wise fashion. Proprioceptive training. The patellar tendon works with the muscles in the front of your thigh to straighten your leg. Your doctor may recommend you wear a knee immobilizer or brace. By six weeks post-op, the patient should have 90 degrees of flexion (bending) of the knee. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This also ensures that the position of the kneecap closely matches that of your uninjured kneecap. Quadriceps tendon rupture recovery time. Important not to push for flexion to quickly to protect the repair. 9/24/06. Why am I so Tired? PNF patterns with resistance above the knee for hip and pelvic patterns. Typically, after 10-12 weeks the injury has healed. We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. Initiate gentle passive flexion stretching to increase range of motion by 10 weeks. It can be a difficult balance between going slow enough that the tendon heals properly and does not stretch out but quickly enough that the knee does not get stiff. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Questions you might be asked include: After discussing your symptoms and medical history, your doctor will conduct a thorough examination of your knee. Had surgery to reattach it April 29 at Vancouver general hospital in Canada. Recovery time. When you are off your feet for a prolonged period of time, the muscles and tendons supporting your knees lose strength and flexibility. Sometimes, an MRI is required to rule out a different injury that has similar symptoms or to distinguish a partial tear from a complete tear. Inflammation: For the first 3-5 days, the area may feel swollen while the body works to heal itself. With a partial tear, the tendon is intact but frayed, like a rope. Do you have any medical conditions that might predispose you to a quadriceps injury? While this information and these products are not intended to treat any specific injury or illness you have, they are products I use personally, have used or have tried, or I have recommended to others. No running for 12-14 weeks, depending on leg . I suffered a bilateral quad tendon rupture in Jan 2018. Complete tears of the quadriceps tendon require surgical intervention to regain strength in the extremity. This can happen during high-energy accidents such as motor vehicle crashes and during sporting activities or during low energy injuries such as falls from a standing position. Weakened tendons can also be caused by diseases that disrupt blood supply. QUADRICEPS TENDON REPAIR PHASE I (0-2 WEEKS) DATES: Appointments Begin physical therapy 3-5 days post surgery 2-3 x/week Rehabilitation Goals Protect surgical repair Precautions WB: WBATwith crutches and brace locked at 0 at all times Brace: Brace must be warn at all times except during therapy or HEP An intensive rehabilitation protocol is also needed to recover good knee function. After six weeks, quadriceps strengthening is begun. The quadriceps tendon attaches the quadriceps muscles to the patella. The quadriceps muscles are the muscles located at the front of the thigh. Chronic diseases which may weaken the tendon include: Steroid use. It was there that Clinton caught his heel on a step and tore 50% . The diagnosis is confirmed by doing an appropriate physical examination and also through imaging studies. The patient will be placed in a long leg cast, a knee brace, or a knee immobilizer that keeps the knee straight for some length of time. Partial tears. We wish him a speedy recovery. Eccentric focused strengthening program. To provide extra protection to the repair, some surgeons use sutures or cables to help hold the kneecap in position while the tendon heals. Kangaroo tendon is used to repair quadriceps tendon rupture (QTR), Autograft of the central third of the patellar tendon, Immediate treatment of the tendon attached to the patella, Scuderi technique for extreme cases of quadriceps tendon rupture (QTR), Lengthening of codivilla tendon and chronic ruptures repair. Having talked to many other quadders over the last few years, the factors that pertain to the speed of recovery depend on several factors. Upper body weight machines and trunk exercises. Tendon degeneration or partially teared tendon is differently treated. People who require surgery do better if the repair is performed soon after the injury. Should you massage quad tendonitis? Without an intact quadriceps tendon, straightening the knee and walking normally can be difficult. After surgery, athletes are placed in a patellar tendon rupture knee brace that keeps their knees straight. This article on Epainassist.com has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. Immobilization. Rehabilitation program for quadriceps tendon rupture including quadriceps strengthening and proprioception exercises should be undertaken. This article may contains scientific references. You will almost certainly need surgery to repair the torn quadriceps tendon. It is particularly well suited for sports injuries such as a torn quad and facilitating the diagnosis of the severity of the injury and a treatment plan. If you are a competitive athlete, your surgeon will do very thorough assessment before giving a go-ahead to return to your sport. It's the extensor mechanism that allows us to straighten our knee or perform a kicking motion. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. If these are negative, then an MRI scan can be obtained to evaluate the integrity of the quadriceps tendon. The force of muscle contraction is transmitted through the tendon to move the bone. In order to accomplish this, your surgeon will use a drill to make holes (tunnels) in the patella, and then loop sutures through these tunnels to pull the tendon to the bone. Early repair may prevent the tendon from scarring and tightening into a shortened position. The athlete knows that a serious injury has occurred. Magnetic resonance imaging (MRI). If the patients other medical problems prohibit the opportunity to perform the surgery safely in the first week, it can be delayed until the patient is medically fit for surgery. The surgical leg will be weight bearing as tolerated using crutches post-operatively. Some of these factors include the length of wearing the straight brace, starting point of physical therapy and how quickly you had surgery after the injury. Fluoroquinolones. Small tears of this tendon cause pain or make it difficult to walk and participate in other daily activities. The shoulder took more like 18 months. A complete tear will split the soft tissue into two pieces, or the tendon will completely separate from the bone. A quadriceps tendon rupture occurs relatively infrequently and usually occurs in athletes older than 40 years. prior to that I workout at least 2 hours a day typically including 5000 meters on a concept 2. Your doctor and physical therapist will customize a rehabilitation plan for you. With the quadriceps tendon, above the kneecap, there are no bone attachments that allow you to protect the tendon in the same way. An MRI is conducted to determine other injuries to the knee cap, if any. Running program, balance drills and agility program. rheumatoid arthritis. Completely tore my left quad tendon April 26 stepping from a stair to a sloped sidewalk. Tendon rupture occurs when there is a violent contraction of the quadriceps muscle when the knee is flexed (bent), causing the quadriceps or patellar tendon to completely tear or rupture. Getting back to skiing after a Quadriceps Tendon Tear. Overall, it is part of the lower extremitys extensor mechanism. Standing calf raises. Usually this is precipitated by a fall or other traumatic event. It may result in a sudden, sharp pain that causes athletes to stop playing. Increase your normal warm up time by at least 10 minutes in order to increase blood flow to the area. corticosteroid use. This special type of antibiotic has been associated with quadriceps tendon tears. Aggressive work with a physical therapist to help regain range of motion and strength is critical. Surgical treatment is required in case of severe or complete quadriceps tendon rupture (QTR). Immobilization. Hoag Orthopedic Institute is ranked as one of the top Orthopedic Hospitals by U.S. News & World Report in 2022-2023. After surgery you will require some type of pain management, including ice and medications. Gait weight bearing as tolerated with brace locked in 0 degrees extension. Watford FC has confirmed Etebo will be out for 4-5 months with a torn quad muscle. Surgical repair is still possible but may require special techniques to do so and an extended rehabilitation protocol. When a quadriceps tendon tears, there is often a tearing or popping sensation. The sutures are carefully tied at the bottom of the kneecap to get the right tension in the tendon. Quadriceps Tendon Rupture Symptoms A quadriceps tendon rupture is a devastating injury to the knee that uncommonly occurs in sports. Recovery for minor to moderate quad strains is usually . While it is not a surgical emergency, surgery does need to be performed in the first few days, or within the first week or two at the latest. At the same time, the gap between the ends of the ruptured tendon is palpable on the front of the knee. . Some patients with a partial tear may still be able to extend their knee, but will have significant weakness when compared to the other leg. Recommended Products and Resources They will be able to return to work and sport after the appropriate rehabilitation. This includes the following: Conservative ways of treatment is prescribed for partial tears in the knees. The force of the landing is too much for the tendon and it tears. X-rays can help your practitioner determine if the kneecap was damaged. complication of total knee arthroplasty (very rare) 6. There are two types of tears: partial and full. The healing process of quadriceps tendon rupture will be fast and improved. Acute traumatic, unilateral, quadriceps rupture after patellectomy is rare. Light running is generally started at four months from surgery. M.D., office visit day 2 for dressing change, review of medications and instruction on a home program. 2012;20(11):2275-2278. doi:10.1007/s00167-012-1887-8. A partial rupture does not completely damage the soft tissue. Physical therapy. Ilan D, Tejwani N, Keschner M and Liebman, M. Quadriceps Tendon Rupture. Continue soft tissue mobilization. Patients may experience significant swelling or bruising, or notice a divot or gap if they feel the area above the kneecap. NOTE: All progressions are approximations and should be used as a guideline only. Your surgeon will discuss this additional procedure with you prior to surgery. However, no study has compared QT autografts with bone-patellar tendon-bo. Your surgeon will discuss your need for this extra protection before your quadriceps tendon repair surgery. The patellar tendon extends from the bottom of the patella and runs to the tibial tubercle (the top of the tibia). The knee will have a large effusion (swelling in the knee). Quadriceps tendon rupture most commonly occurs in middle-aged people who . This can be anywhere from 3-6 months after the injury. When the quadriceps muscle (thigh muscle) contracts, force is transmitted through the quadriceps tendon, across the patella (kneecap), through the patellar tendon, and the knee is straightened. The quadriceps tendon is the most important tendon involved in straightening the knee from a bent position. Your thearpist will gradually add exercises to your program. A quadriceps muscle strain is a partial tear of the small fibers of the big group of muscles in the front of the thigh. But some of them (particularly endurance athletes and those in running sports) commonly fail to train their gut., In my humble opinion, peanut butter (PB) is one of the best sports foods around. What Happens With a Quadriceps Tendon Rupture. If the quadriceps tendon tear is severe, you will require surgery to repair the torn tendon and reattach it to the kneecap. Inflammation of the quadriceps tendon, called quadriceps tendinitis, weakens the tendon. The kneecap moves out of place when the quadriceps tendon tears. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. Sometimes, surgeons make this decision for additional protection during surgery, when they see that the tendon shows more damage than expected, or that the tear is more extensive. The mean time of follow-up was 47.5 months (3 months to 24 years). A large tear of the patellar tendon is a disabling injury. Ankle pumps, quad sets, leg raises in multiple planes (except hip flexion). The x-rays of a patient with a quadriceps tendon rupture may show patellar baja (a knee cap that is lower than normal). Your doctor will discuss with you when it is safe to return to sports or other physical activity. Hospital stay. A review of the research, Runners of all ages and abilities commonly ask me what they should they be eating before running or during and after a competitive event: When should I eat before the 10K: 2,, I feel tired a lot. Weight loss surgery reduces the risk of premature death. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Quadriceps tendon ruptures are more common than patellar tendon ruptures. Though rare, some people with medical co-morbidities may need to stay in the hospital after their surgery. This checklist can help you plan your next step to recover quickly and safely. This is similar to a rope stretched so far that some of the fibers are frayed, but the rope is still in one piece. 2010. An eccentric contraction can occur with injuries such as a slip on wet ground or a sports injury. A quadriceps tendon rupture can be either partial or complete. Dr. David Geier is an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina and Charlotte, North Carolina. San Francisco, CA 94123, United States. Continue to increase intensity and resistance of other exercises. This injury is generally due to an acute stretch of the quadriceps muscle, again and again at the same time as a forceful compression or repetitious functional . Quadriceps tendon rupture is the loss of congruency, either partial or complete, of the quadriceps tendon. Focus on gait mechanics. Most people with complete tears will require surgery to repair the torn tendon. There are some medical problems that can increase a persons chance of having a quadriceps tendon rupture including renal (kidney) disease, rheumatoid arthritis, chronic steroid use and diabetes mellitus. Most likely, your repair will be protected with a knee immobilizer or a long leg cast. Initiate gentle patellar glides and portal scar tissue mobilization when appropriate. The gold standard for diagnosis would be an MRI scan of the knee, which would evaluate all of the soft tissue structures in the knee including all of the cartilage and ligaments. While this part of the examination can be painful, it is important to identify a quadriceps tendon tear. Most rehabilitation plans allow initiation of active knee flexion and passive extension by two weeks after surgery. The patient with a complete rupture is unable to do a straight leg raise or extend their knee. Ciriello V, Gudipati S, Tosounidis T, Soucacos PN, Giannoudis PV. Quadriceps Tendon Rupture (QTR) is completely healed in a period of 6 to 9 months after a proper surgical treatment. visit at 1 month post-op. Typically, the brace is discontinued at eight weeks from surgery. I was also 6 years younger and had more free time (no dogs, no regular job) to tend to my full recovery. Return to Play Full recovery and return to sport. Most quadriceps tendon ruptures are the result of either direct or indirect trauma. Use a self-massage tool or a foam roller to roll up and down the quadriceps as part of your warm up. Injuries to the torn quad can be very disabling. Following surgery, most surgeons recommend a brace to protect the repair. This allows for better mobility and also prepares the tissues for exercise. The patient is then placed into a, After surgery, the patient will start with a gentle passive range of motion with their physical therapist. Massage techniques can be done to treat the ruptured quadriceps tendon. Clinical outcomes after repair ofquadricepstendonrupture: a systematic review. Not only is it yummy, it is also health-promoting and performance enhancing. Learn more via SportsMDs 24/7 Telemedicine Service. renal impairment. How can you know if your injury should get better in a few days or if it's more serious? Elasticized compression bandage around the injury can be used. Soft tissue mobilization through hip, knee, and lumbar region as necessary. All of these injuries have similar treatments and rehabilitation plans. Wean out of brace, use brace unlocked if approved by MD. Resisted closed-chain rehabilitation through multiple ranges. X ray-The sideway image is essential to determine the quadriceps tendon rupture (QTR). Two-legged bicycling for range of motion and without resistance and without forcing range of motion. A quadriceps tendon tear or rupture is an injury that occurs when the tendon that attaches to the quadriceps muscle (a group of 4 muscles in the front part of the femur) to the patella or kneecap tears. ; This tendon is classically in a trilaminar structure:; Superficial layer: rectus femoris muscle; Middle layer: vastus medialis muscle, vastus lateralis muscle; Deep layer: vastus intermedius muscle; This tendon continues to distal to the patella as the . 2007;89(3):259-261. doi:10.1308/003588407X179044, Nori S. Quadriceps tendon rupture. The initial weight of post operation is managed with a walker or crutches. pic.twitter.com/len99PK6Mk, Adepoju Tobi Samuel (@OgaNlaMedia) September 30, 2021, Many athletes fantasize about losing weight (Wouldnt it be nice to lose a few pounds). Many patients report that they required 12 months before they reached all their goals. We have some positions where we have solid starters Darrelle Revis, Kyle Fuller among options for corner-needy Eagles ESPN (blog), PHILADELPHIA After a ruptured right quadricep tendon sidelined Ron Brooks for the final 10 weeks of the 2016 season, the Eagles veteran cornerback returned to the practice field for training camp this week with a goal in mind: to prove negative Eagles WireNBC 10 PhiladelphiaFanRag Sports (blog) Philadelphia Eagles Ron Brooks takes offense to negative talk about teams cornerbacks PennLive.com. Quadriceps tendon rupture (QTR) is determined in people who do not automatically have a reflex. How long does it take to recover from ruptured quadriceps tendon? Depending on the type of tear (partial or complete), the complete healing process for a torn patellar tendon may look like the following: Complete patellar tendon tear recovery: since the patellar tendon breaks into two pieces, it will require surgery, which can take about six months to recover along with extensive rehabilitation. This is a comprehensive Q&A collection on MCL and PCL injuries, patellar dislocations, patellar and quad tendon ruptures, knee dislocations and more. A person with a grade 1 injury will likely recover within 1-2 weeks if they rest the muscle as much as possible. The four quadriceps muscles meet just above the kneecap (patella) to form the quadriceps tendon. Gait no limp, good mechanics. Your surgeon will compare your leg strength using some functional knee testing (like hopping). As the story goes Clinton was at the home of golfer Greg Norman in March 1997. Passive/Active range of motion full, equal to opposite leg. . Think of an awkward landing from a jump while playing basketball. Slightly over half of people have thigh weakness and soreness at the site of the tear. Quadriceps tendon ruptures have a good prognosis if they are diagnosed quickly. Rotator Cuff and Shoulder Conditioning Program. During surgical repair, the surgeon reattaches the torn tendon to the top of the kneecap. Heat and ice therapy for quadriceps tendon rupture helps in pain and swelling. Diagnosis is made clinically with a palpable defect 2 cm proximal to the superior pole of the patella with inability to perform a straight leg raise and presence of patella baja on knee radiographs. They connect the quadriceps muscle to the shin bone and, less precisely, are sometimes called patellar ligaments. Quadriceps tendon is a thick tissue located at the top of the kneecap. This is often very obvious on a side view X-ray of the knee. The usual recovery time is 4 to 6 months. Physical Therapy Exercise Program After Patellar Tendon Rupture, Causes of Knee Pain and Treatment Options, Achilles Tendon Pain: Symptoms, Causes, and Treatments, Joint Subluxation Injury: Symptoms and Treatment, A New Clinical Test in Diagnosing Quadriceps Tendon Rupture, Surgical management of acute quadriceps tendon rupture (a case report with literature review), Better knee function after surgical repair of acute quadriceps tendon rupture in comparison to acute patellar tendon rupture, Postoperative functional rehabilitation after repair of quadriceps tendon ruptures: a comparison of two different protocols, Clinical outcomes after repair ofquadricepstendonrupture: a systematic review. At 2 weeks okay to start 0 to 20 degree range of motion. Range of motion 0 to 100 degrees. Copyright 2023 Dr. David Geier Enterprises, LLC, Dr. David Geiers Amazon Influencer store, Tips For Choosing the Perfect Orthopedic Surgeon For You. Have you had a previous injury to the front of your knee? Doctors prescribe the range of motion physical practices depending on the age and healing capacity of the patient. Muscles are connected to bones by tendons. Recovery times can vary, depending on the extent of the injury. Continue to progress weight bearing and functional mobility as able. Minor to moderate quad strains will usually heal on their own, given enough time. Reproduced from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4. I will add more info to this timeline as I go through more of my data: January 6th - Bilateral Quadriceps Tendon Accident, January 8th - Doctor's Appointment and MRI, January 9th - Surgery of Bilateral Quad Tears, Received Leg Braces to wear and locked at 0 degrees ROM for next 6 weeks for tendons to heal and repair themselves, January 23rd - 2 Week Follow Up with Doctor / removal of staples, February 22nd - 6 Week Follow Up / cleared for starting PT, Given the ok to start increasing ROM on braces at 20 degrees per week, February 27th - First Physical Therapy Session (initial PT frequency at 2x per week), March 1st - ROM Increased to 40 degrees via braces, March 8th - ROM Increased to 60 degrees via braces, March 15 - ROM Increased to 80 degrees via braces, March 22 - ROM Increased to 100 degrees via braces, March 31 - Physical Therapy Session Frequency at once per week, April 1st - 15 minutes of stationary bike full rotation, April 5th - 12 Week Follow Up / cleared for brace removal, April 15 - Last Physical Therapy Session. The remaining patellar tendon pulls the kneecap toward the floor. The rotator cuff, a group of four muscles and A quick ankle twist. Posts: 14. There may also be a small piece of bone that is torn off of the patella with the tendon that can be visualized on x-ray. Many tears do not completely disrupt the tendon. In any case today - ~6 years post quad tendon surgery - every thing is fine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. A quadriceps tendon tear is debilitating if not treated. Apart from the physical diagnosis, imaging tests are also prescribed for quadriceps tendon rupture (QTR). Once the initial pain and swelling has settled down, you can physical therapy. The quadriceps tendon is the tendon that extends from the quadriceps muscle of the thigh to the top of the patella (kneecap).
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